文档介绍：Accidental Trauma in Children
ED of Children’s Hospital,
Shanghai Fudan university
2005
Overview
Definition of Accidental Trauma:
Accident, Unexpected, Injuries
Physically and/or Psychologically
Causes: physical, chemical, and biological factors
Main cause of mutilation and death in children globally
Overview
Epidemic features:
high incidence in younger children,especially in 1~5 year-old
Accidental Trauma es one of the main problems that affect the health, life and quality of life in childhood population
One of the important topics of the pediatrics
Most accidental trauma could be avoided if good care and management are followed.
Cause of Accident
Common Causes :
Traffic accident, Near-drowning, Falling,
Fire disaster, Intoxication, Asphyxia
Other Causes :
Ruise, Crash, Falling, Cutting, Stab,
Scratch or bite、Overactivity, Electric burn
Suicide/homicide、Abuse(family violence)
1990s report of fatality rate of AT
J. Chinese Pediatr 1995, 33(7)
Risk factors
Social, economic, cultural
Age, Gender, Race
Special physical and psychological problems
Risk factors
一、General factors :
1. Ages:
Crash :younger children
Near-drowning :<5 year-old or >15 year-old
Traffic accident :5-15 year-old
2. Gender:
3. Race
4. Mental profile
Risk factors
二、Family factors:
Family care:
Parental problems
Single parent
Education of parents and kids
Security activities for kids
Risk factors
三:Social factors:
Public traffic laws
Public promotions and information:
More in treatment and less in prevention
Public secure facilities
Development state of the local area
Customs and habits of the people
Epidemiology
International: 1989-9 first academic conference
Developing country: first cause of mortality in children in last century
WHO(1990): main cause of handicap in children